Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.73 / $847.72 / $1,388.81	Facility		$360.73	$847.72	$1,388.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $360.73 / $369.75	Professional		$315.64	$360.73	$369.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.15 / $486.98 / $797.98	Facility		$398.15	$486.98	$797.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $180.36 / $586.17	Professional		$144.37	$180.36	$586.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $1,318.91 / $12,962.69	Facility		$450.91	$1,318.91	$12,962.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.37 / $1,082.18 / $10,605.83	Professional		$471.37	$1,082.18	$10,605.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.41 / $464.25 / $2,573.33	Facility		$402.41	$464.25	$2,573.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $590.69 / $2,538.11	Professional		$360.73	$590.69	$2,538.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $402.41 / $464.25 / $2,611.11	Facility		$402.41	$464.25	$2,611.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $360.73 / $360.73	Professional		$360.73	$360.73	$360.73
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $656.98	Professional		$189.38	$270.55	$656.98